간호사의 환자안전문화 인식, 환자안전역량과 윤리적 간호역량이 환자안전사고 보고 의도에 미치는 영향
The Influence of nurses' awareness of patient safety culture, patient safety competency, and ethical nursing competency on intention to error reporting
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Purpose: This study aimed to identify factors influencing the intention to report patient safety incidents. Methods: Data were collected from 256 nurses who worked and provided direct nursing care at a university hospital in Y City through an online survey conducted from July 17 to August 6, 2023. The survey included a self-reported questionnaire comprising measurement tools for general and patient safety incident-related characteristics, patient safety culture perception, patient safety competence, ethical nursing competence, and intention to report patient safety incidents. The data were analyzed using SPSS 29.0. Results: Multiple regression analysis revealed that greater total clinical experience (β=.26, p=.004) and higher patient safety competence (β=.29, p=.013) were associated with a higher intention to report near misses (adj. R2=.240, F=6.97, p<.001). Additionally, higher patient safety competence (β=.35, p<.001) was associated with a higher intention to report adverse events (adj. R2=.127, F=8.42, p<.001). Conclusion: Enhancing patient safety competency is essential to improve nurses' intentions to voluntarily report patient safety incidents. Particularly, strategies are needed to encourage non-experienced nurses to report near misses voluntarily.ㅍ
Abstract
Purpose: This study aimed to identify factors influencing the intention to report patient safety incidents. Methods: Data were collected from 256 nurses who worked and provided direct nursing care at a university hospital in Y City through an online survey conducted from July 17 to August 6, 2023. The survey included a self-reported questionnaire comprising measurement tools for general and patient safety incident-related characteristics, patient safety culture perception, patient safety competence, ethical nursing competence, and intention to report patient safety incidents. The data were analyzed using SPSS 29.0. Results: Multiple regression analysis revealed that greater total clinical experience (β=.26, p=.004) and higher patient safety competence (β=.29, p=.013) were associated with a higher intention to report near misses (adj. R2=.240, F=6.97, p<.001). Additionally, higher patient safety competence (β=.35, p<.001) was associated with a higher intention to report adverse events (adj. R2=.127, F=8.42, p<.001). Conclusion: Enhancing patient safety competency is essential to improve nurses' intentions to voluntarily report patient safety incidents. Particularly, strategies are needed to encourage non-experienced nurses to report near misses voluntarily.
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